Regional reduction of high-energy phosphorus metabolites characterizes the cerebellar subtype of multiple system atrophy.
Overview
- Section of Movement Disorders, Department of Neurology, University Medical Center Schleswig-Holstein,Lübeck, Germany
- Institute of Neurogenetics, University of Lübeck,Lübeck, Germany
- Center for Brain, Behavior, and Metabolism, University of Lübeck,Lübeck, Germany
- Division of MR Research, Department of Radiology, Johns Hopkins University School of Medicine,Baltimore, MD USA
- F.M. Kirby Research Center for Functional Brain Imaging, Hugo W. Moser Research Institute at Kennedy Krieger,Baltimore, MD USA
Abstract
Multiple system atrophy (MSA) is a severe neurodegenerative disorder with various underlying pathophysiological features. Mitochondrial dysfunction has been implied as a viable treatment target in patients with MSA. Yet, there is a lack of in-vivo studies examining regional metabolic differences between the Parkinsonian (MSAp) and the cerebellar (MSAc) subtype of MSA. Twenty-four patients with MSA (12 patients with MSAp and 12 patients with MSAc), 24 patients with Parkinson’s disease (PD), and 24 age- and sex-matched healthy controls (HCs) underwent clinical evaluations and multimodal neuroimaging, including 31P-MRSI targeting the basal ganglia and the cerebellum. Ratios of high-energy phosphorus-containing metabolites (HEPs) were compared between groups. Only patients with MSAc showed decreased HEP levels in the cerebellum. Conversely, no differences in basal ganglia HEP levels appeared between both MSA subtypes, patients with PD, or HCs. Our findings provide preliminary in-vivo evidence for regionally detectable bioenergetic alterations in the cerebellum of patients with MSAc, while basal ganglia results, particularly in MSAp, require cautious interpretation because of the spatial-resolution limits of the present 31P-MRSI approach.
Reproduced under the paper's license (CC BY), from the paper cited above.
Code
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The code used in this study is available from the corresponding author upon reasonable request.
Reproduced under the paper's license (CC BY), from the paper cited above.
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Versions
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Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 9 authors, 3 keywords, 32 references.
Cite
This paper
Prasuhn, J., Bodemann, C., Ebeling, B., Reuther, K., Großer, S. S., Uter, J., Henkel, J., Hanssen, H., & Brüggemann, N. (2026). Regional reduction of high-energy phosphorus metabolites characterizes the cerebellar subtype of multiple system atrophy. NPJ Parkinson's disease, 12(1), 199. https://
BibTeX
@article{prasuhn2026regi
author = {Prasuhn, Jannik and Bodemann, Christina and Ebeling, Britt and Reuther, Katharina and Großer, Sinja S. and Uter, Jan and Henkel, Julia and Hanssen, Henrike and Brüggemann, Norbert},
title = {{Regional reduction of high-energy phosphorus metabolites characterizes the cerebellar subtype of multiple system atrophy}},
journal = {NPJ Parkinson's disease},
year = {2026},
month = aug,
volume = {12},
number = {1},
pages = {199},
publisher = {Nature Publishing Group},
issn = {2373-8057},
doi = {10.1038/
url = {https://
pmid = {42624856},
pmcid = {PMC13493920}
}
RIS
TY - JOUR
AU - Prasuhn, Jannik
AU - Bodemann, Christina
AU - Ebeling, Britt
AU - Reuther, Katharina
AU - Großer, Sinja S.
AU - Uter, Jan
AU - Henkel, Julia
AU - Hanssen, Henrike
AU - Brüggemann, Norbert
TI - Regional reduction of high-energy phosphorus metabolites characterizes the cerebellar subtype of multiple system atrophy
T2 - NPJ Parkinson's disease
J2 - NPJ Parkinsons Dis
PY - 2026
DA - 2026/
VL - 12
IS - 1
SP - 199
SN - 2373-8057
PB - Nature Publishing Group
DO - 10.1038/
UR - https://
LA - en
ER -
CSL-JSON
{
"id": "10.1038/
"type": "article-journal",
"title": "Regional reduction of high-energy phosphorus metabolites characterizes the cerebellar subtype of multiple system atrophy",
"container-title": "NPJ Parkinson's disease",
"author": [
{
"family": "Prasuhn",
"given": "Jannik"
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"given": "Christina"
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{
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"given": "Katharina"
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{
"family": "Großer",
"given": "Sinja S."
},
{
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{
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"given": "Julia"
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{
"family": "Hanssen",
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{
"family": "Brüggemann",
"given": "Norbert"
}
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"page": "199",
"DOI": "10.1038/
"PMID": "42624856",
"PMCID": "PMC13493920",
"ISSN": "2373-8057",
"publisher": "Nature Publishing Group",
"URL": "https://
"language": "en",
"issued": {
"date-parts": [
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